Consumer Advocates for RCFE Reform

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How often are RCFEs inspected by the state?

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Understanding Inspection and Enforcement

Community Care Licensing (CCLD) is required to inspect each Residential Care Facility for the Elderly (RCFE) periodically (Title 22, §87756 (d)). CCLD is also obligated to visit (unannounced) approximately 20% of the facilities within its jurisdiction, annually (Title 22, §87756(c). Other reasons for unannounced visits may include, but are not limited to, the following:

The Licensee is on probation,

An accusation against a Licensee is pending (i.e. a complaint has been reported)*,

When the terms of a compliance plan require an annual evaluation (i.e a visit is necessary to verify compliance on a deficiency issue),

When the facility requires an annual visit as a condition of receiving federal financial participation, and

To ensure a person who has been ordered out of an RCFE, is no longer at the facility.

The Inspection report is called Facility Evaluation Report (Form LIC 809). The LIC 809 is the "primary paperwork used to document the level of facility compliance" (§3-3010 - Evaluator's Manual 10RM-12, August 2010). The Facility Evaluation Report is a Public Document available in the public file.

In 2017, CCL inspected RCFEs approximately once in 3 years, in 2018 required inspections will be once in 2 years, and commencing in 2019, inspections will move to annual. Prior to 2017, the state was inspection just once in 5 years.